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TENNESSEE VALLEY PAIN CONSULTANTS, PC

Details

Name: TENNESSEE VALLEY PAIN CONSULTANTS, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 11 Dec 2015 (9 years ago)
Entity Number: 000-351-317
Register Number: 000351317
Historical Names: NORTH ALABAMA PAIN CONSULTANTS, PC
County: Madison
Place of Formation: Madison County
Principal Address: 201 GOVERNORS DR SUITE 400HUNTSVILLE, AL 35801
Principal Address ZIP Code: 35801
Authorized Capital: 1000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730548264 2016-02-11 2017-03-28 PO BOX 11407, BIRMINGHAM, AL, 352460116, US 201 GOVERNORS DR SW STE 400, HUNTSVILLE, AL, 358015183, US

Contacts

Phone +1 256-533-7064
Fax 2567040115
Phone +1 256-265-7246
Fax 2652657017

Authorized person

Name MORRIS SCHERLIS
Role PRESIDENT
Phone 2562657246

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TENNESSEE VALLEY PAIN CONSULTANTS PC RETIREMENT PL 2011 631168726 2012-10-15 TENNESSEE VALLEY PAIN CONSULTANTS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2562657908
Plan sponsor’s mailing address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801
Plan sponsor’s address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801

Plan administrator’s name and address

Administrator’s EIN 631168726
Plan administrator’s name TENNESSEE VALLEY PAIN CONSULTANTS PC
Plan administrator’s address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657908

Number of participants as of the end of the plan year

Active participants 4

Signature of

Role Plan administrator
Date 2012-10-08
Name of individual signing MORRIS L. SCHERLIS
Valid signature Filed with authorized/valid electronic signature
TENNESSEE VALLEY PAIN CONSULTANTS PC RETIREMENT PL 2010 631168726 2011-10-16 TENNESSEE VALLEY PAIN CONSULTANTS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2562657908
Plan sponsor’s mailing address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801
Plan sponsor’s address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801

Plan administrator’s name and address

Administrator’s EIN 631168726
Plan administrator’s name TENNESSEE VALLEY PAIN CONSULTANTS PC
Plan administrator’s address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657908

Number of participants as of the end of the plan year

Active participants 4

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing MORRIS L. SCHERLIS
Valid signature Filed with authorized/valid electronic signature
TENNESSEE VALLEY PAIN CONSULTANTS PC RETIREMENT PLAN 2009 631168726 2010-10-14 TENNESSEE VALLEY PAIN CONSULTANTS PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2562657908
Plan sponsor’s mailing address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801
Plan sponsor’s address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801

Plan administrator’s name and address

Administrator’s EIN 631168726
Plan administrator’s name TENNESSEE VALLEY PAIN CONSULTANTS PC
Plan administrator’s address 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657908

Number of participants as of the end of the plan year

Active participants 4

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing RENE FORTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCHERLIS, MORRIS L Agent 201 GOVERNORS DR SUITE 400HUNTSVILLE, AL 35801

Director

Name Role Address
SCHERLIS, MORRIS L Director 201 GOVERNORS DR SUITE 400HUNTSVILLE, AL 35801

Incorporator

Name Role Address
SCHERLIS, MORRIS L Incorporator 201 GOVERNORS DR SUITE 400HUNTSVILLE, AL 35801

Events

Event Date Event Type Old Value New Value
2015-12-17 Name Change NORTH ALABAMA PAIN CONSULTANTS, PC TENNESSEE VALLEY PAIN CONSULTANTS, PC

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State